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DOMESTIC VIOLENCE REPORT

LAW PREVENTION PROTECTION ENFORCEMENT TREATMENT HEALTH


Vol. 14, No. 2 ISSN 1086-1270 Pages 17 32

December/January 2009

Appeals Court Electroshock: The Gentlemans


Reverses Courts Way to Batter Women
by Bonnie Burstow, Ph.D.
Revictimization
of the Victim Daily, in institutions in almost every
part of the world, peoplemainly
As suggested by Breeding (2007),
while the average person is unaware
by Joan Meier, Esq. womenare wheeled into special that ECT is still usednever mind
rooms and administered ECT (electro- on the risewhere people become
Ms. Murphy and Mr. Okeke shock or electroconvulsive therapy). aware, initially, they may be con-
had been romantically involved In the United States alone, six mil- cerned, for something about ECT sits
when Mr. Okeke invited her to lion human beings have undergone wrong, but they generally back off,
this treatment (see Frank, 2006), and announcing that they are not medical
Authorized Reprint
attend a party at his apartment
on July 4, 2003. Upon discov- ECT is on the horizons of many more. experts and suggesting that perhaps
ering from a guest that Okeke This is so because there is a profitable the treatment is necessary. Such is
was sleeping another woman, industry built on it (see MindFreedom, the power of a regime of ruling. The
Murphy began to cry and yell. 20022003). This happens because fact is, despite decades of protest and
In response, Okeke demanded psychiatry is what sociologist Dorothy despite a degree of public discomfort
that Murphy leave his apart- Smith (1987) calls a regime of rul- with ECT, it is protected by medical
ment. When she did not, Okeke ing, that is, a regime with the power hegemony which frames how we are
assaulted herand after the to dictate reality; and in psychiatric to think. That being the case, what I
guests all left he continued to discourse, ECT is a benign, safe, and am doing hereaddressing electro-
beat her so violently that she effective solution to a troubled mind shock as violence and situating an
jumped out of a second story one which has received bad press to article to that effect in a publication
window to escape. She received be sure, but which is new, modified, on violencenecessarily flies in the
emergency room treatment and and to be trusted (see, for example, face of common sense. The point is,
missed several weeks of work. the discourse of Fink, 1999). This hap- psychiatry is a prestigious helping
Murphy filed for a civil protec- pens for other reasons also which will profession, and electroshock is a stan-
tion order (CPO) against Okeke become clearer as this article unfolds. dard psychiatric treatment intended
in the D.C. Superior Court. Now, for a safe and effective treat- to help, and as such, common sense
After learning of the petition, ment, ECT has been marked by a
dictates, it must be of some use, and
he filed a cross-petition alleging strange history of the people presum-
whatever its shortcomings, minimally,
Murphy had physically and ver- ably benefiting from it curiously ral-
it could not qualify as violence. As fem-
bally assaulted him and had also lying to have it discontinued. There
inists have long understood, however,
destroyed some of his property have long been protests and, indeed,
deconstruct what is purportedly done
(i.e., the computer she climbed up formidable campaigns waged against
for ones own good, and violence will
on to get out of the window). The ECT by survivors and their allies
often be found.
CPO hearing was scheduled to books written, demonstrations staged,
Professional misrepresentations of
commence after Okekes criminal city councils appealed to (see Burstow,
2006a and 2006b)but they have not electroshock are the backdrop against
trial for his assaults against Mur- which this article is written. What this
phy. In the meantime, Temporary succeeded in curtailing the treatment.
Protection Orders (TPOs) were Indeed, as shown in MindFreedom
issued on behalf of both parties, (20022003), it is on the rise. See ELECTROSHOCK, next page
and were extended repeatedly
while the criminal trial was pend-
ing. During the criminal trial Ms. ALSO IN THIS ISSUE
Murphy was painted by defense
counsel as drunk and out of con- Internet Publication of Protection Order Information:
trol. The judge apparently agreed, Federal Law and Privacy Principles to Guide Policy . . . . . . . . . . . . . . . . . . . . . . . . 19
See COURT REVERSES, page 23 Restraining Order Cases From Around the Country . . . . . . . . . . . . . . . . . . . . . . . . 21

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18 DOMESTIC VIOLENCE REPORT December/January 2009

ELECTROSHOCK, from page 17 recently, modified shock was intro- The Scientific Findings:
duced in the 1940s and was stan- ECT as Damage
article will demonstrate is that con- dard practice by the mid-fifties. The As early as the 1950s, animal experi-
trary to hegemonic medical discourse, major modifications are use of a mus- ments established that ECT causes brain
electroshock harmsindeed violates. cle relaxant and application of oxygen damage. For example, in a definitive
Moreover, despite the gender-neutral during the procedurethe purpose double blind study, Hartelius (1952)
terms in which it is couched, it is only being to prevent bone fractures and examined the slides of the brains of
too gendered and is properly under- joint dislocations. Typically, a single catshalf of which had received elec-
stood as a form of violence against ECT series consists of at least six to troshock. On the basis of observable
women. Most of this article explores ten treatments (see Frank 1978 and brain damage (cell death and hemor-
the violent nature of ECT, particularly 2006; the Electro-convulsive Therapy rhages), with almost complete accuracy,
focusing in on the gendered nature Review Committee, 1985; Breggin, he was able to identify which animals
of that violence. The article ends with 1979; Breggin, 1991; Breggin, 1997; had been administered shock.
a reflection on the implications for Breggin, 1998). To cite relevant research on human
those concerned with violence against beings with respect to both unilat-
women. While the article in no way How Did ECT Begin? eral and bilateral shock, Weinberger
limits the understanding of that vio- (1979) found more cerebral atrophy
While no treatment could be ade-
lence to comparisons to domestic in the brains of schizophrenics who
quately assessed on the basis of its
abuse, at various points through- have had ECT than those that have
origins, beginnings can be instruc-
out, additionally, the resemblance to not. And in an ECT study, Calloway
tive. Invented in fascist Italy, ECT
domestic abuse and what this resem- (1981) found a correlation between
was inspired by the sight of animals
blance reveals is highlighted. frontal lobe atrophy and ECT.
en route to the slaughter being ren-
dered docile by an electrical cattle Memory loss, intellectual impair-
Technically Speaking, prod. The first human recipient was a ment, and the creation of neuropathol-
What Is ECT? homeless man who was dragged off the ogy are standard and well documented.
ECT is a psychiatric procedure street and administered it against his An experimental study (Templer, Ruff,
which consists of passing sufficient will. As documented in Frank (1978, and Armstrong (1973)) establishes that
electricity through the head (100 pp. 811), no sooner did the first jolt ECT causes permanent memory loss
190 volts) to produce a grand mal of electricity surge through the head and general intellectual impairment.
seizure or convulsionhence the of the first electroshock recipient On the basis of a critical review of the
term electroconvulsive therapy. In than he bolted upright, screaming literatureincluding animal and human
unilateral shock, both electrodes are in horror, Non una seconda! Mor- autopsy, epilepsy and seizure studies,
placed on one side of the head, while tificare! (Not again, it will kill me.) and studies of memory loss and intel-
in bilateral shock, one electrode is Later, the inventor, Cerletti, acknowl- lectual impairmentTempler and Vele-
placed on each side. While the term edged, When I saw the patients ber (1982) concluded that ECT causes
new improved shock or modi- reaction, I thought to myself: This permanent brain pathology. Breggins
fied shock creates the impression ought to be abolished (see Frank,
that something substantial changed 1978, p. 11). See ELECTROSHOCK, page 25

DOMESTIC VIOLENCE REPORT TM

Editor: Joan Zorza, Esq. Board of Advisors


Associate Editors: Nancy K.D. Lemon, Esq. Jacquelynne J. Bowman, Esq., Associate Director, Greater Joan Meier, Esq., Professor, George Washington Law
Mindy B. Mechanic, Ph.D. Boston Legal Services, Boston, MA School, Washington, D.C.
Anne L. Perry, Esq. Donald Cochran, Ed.D., Professor, Northeastern Univer- Leslye E. Orloff, Esq., Assoc. Vice President of Legal
Managing Editor: Lisa R. Lipman, Esq. sity, Criminal Justice School, Boston, MA Momentum, Washington, D.C.
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The information in this publication is not intended to replace the Barbara Hart, Esq., Legal Director, Pennsylvania Coalition Court Judges, Washington, DC
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December/January 2009 DOMESTIC VIOLENCE REPORT 25

ELECTROSHOCK, from page 18 dence that this dangerous treatment also significant, psychiatrys long and
has any beneficial effect. As late as documented use of terror and tor-
extensive literature review (1998, p. 27) 2006, Colin Ross (2006) did an exten- ture, lends support to Breggins posi-
culminated in the following conclusion: sive review of the literature on sham tion. Note, in this regard, such torture
ECT causes severe and irreversible brain ECT. No indication was found that apparatus as the ovary compressor and
neuropathology including cell death. It this brain-damaging treatment outper- such torturous procedures as repeti-
can wipe out vast amounts of retrograde forms placebo. tively dunking a patient in ice water
memory while producing permanent (see Szasz, 1977 and Frank, 1979).
cognitive dysfunction. The Latest Significant Piece Breggin (1979) and (1991) advances
Especially significant and equally of Research a further explanation. A good part of
harrowing are the conclusions of neu- Shortly after the Ross (2006) find- what is impressing his colleagues, he
rologists. While few neurologists have ing, the largest and most ambitious suggests, is precisely the controlled
conducted research into ECT or indeed, study in ECT history was concluded. behaviour, memory loss, and intellec-
even commented on it, they have special It involved 346 shock recipients, used tual impairment arising from brain
credibility here for they are uniquely a barrage of different measures, and damage. He also maintains that his
qualified to speak of brain damage and involved six month follow-up. Headed colleagues are aware that brain dam-
they have no vested interests, that is, no by a long time and staunch shock age is operant.
personal or professional reason to either advocate, the study (Sackeim et al., There is merit to these claims. With-
approve or disapprove of ECT. Those 2007) established cognitive impair- out question, brain damage frequently
neurologists who have researched it ment, brain damage, and memory renders people easier to control and
have been unequivocal, declaring it a impairment to the level of statistical in a profession with the job of control-
brain-damaging procedure, one neurol- significancemoreover, a high level of ling behaviour, more controlled eas-
ogist (Friedberg, 1977) actually naming significancewith respect to both uni- ily translates into improved. There
one of his articles Shock Treatment Is lateral and bilateral electroshock, and is no question, additionally, but what
Not Good for Your Brain, and another, indeed, for every method of delivering inspired the inventor of ECT was pre-
Sidney Samant, redefining electroshock electroshock, including the newest. cisely the docility of the animals who
as brain damage produced by elec- had been stunned by the electrical cat-
trical means (quoted from Breggin, Effective in Doing What? tle prods. And minimally, psychiatrists
1991, p. 184). Profits and career motivations aside, who administer shock would have to
While minimizing or totally deny- the longstanding discrepancy between be aware of memory loss, for there is
ing the damage done, ECT promot- the doctors claims of effectiveness a huge literature on it and patients
ers defend the use of shock on the and what research actually establishes routinely complain about it (see, in
basis of its alleged effectiveness in raises the question of whether or not this regard, Burstow, 2006 and Frank,
alleviating depression and prevent- psychiatrists impression of effective- 2006). Correspondingly, psychiatrists
ing suicide. However, research shows ness is based on something other than who administer shock have been
that the efficacy claims are false. In a lowering depression and preventing known to make statements which show
rigorously controlled double blind suicide. Psychiatrist Peter Breggin that they are not only aware of but are
study, Lambourne and Gill (1978) (1991, p. 212) attributes it to ECTs counting on that memory loss. By way
found that a month after shock and ability to control behaviour via fear of example, at a review board hearing
simulated shock, there was no dis- and punishment, and by way of illus- at which I testified as an expert wit-
cernable difference in improvement tration, he calls attention to telling ness, the psychiatrist who was seeking
between the shock and control groups. statements made by his colleagues. For permission to force electroshock on a
They concluded that shocks alleged instance, he cites one colleague who woman who was not eating took the
effectiveness is probably due to pla- used the expression, lets throw the patients lawyer aside and told the law-
cebo. Research by Johnstone (1980) book at him to denote lets give him yer that electroshock would solve the
and Crow and Johnstone (1986) pro- ECT and another as telling a man that problem, for after shock, the woman
duced similar results. In 1991, Breggin the treatment would help his wife by would not remember why she was not
(p. 207) concluded, after more than virtue of a mental spanking. Indeed,
fifty years there is no meaningful evi- such statements are suggestive. What is See ELECTROSHOCK, next page

INTERNET PUBLICATION, from page 24 13. Id. at viii. of Privacy Public Policy, http://www.privacy
14. Id. at 4142. rights.org/ar/fairinfo.htm.
15. Organization for Economic Security and 17. Los Angeles Police Department v. United Pub-
9. See VAWA and Privacy, http://www.epic. Co-Operation, OECD Guidelines on the Protec-
org/privacy/dv/vawa.html. lishing Group, 528 U.S. 32 (1999).
tion of Privacy and Transborder Flows of Personal
10. 18 U.S.C. 2265(d)(3). 18. Id. at 35.
Data (1980), available at http://222.oecd.
11. 42 U.S.C. 13925(a)(20). org/document/18/0,2340,en_2749_34255_ 19. Id.
12. U.S. Department of Health, Education 1815186_1_1_1_1,00.html. 20. Id. at 37.
and Welfare, Records, Computers and the Rights 16. Privacy Rights Clearinghouse, A Review of 21. What is a CAPTCHA?, http://recaptcha.
of Citizens, 4142 (1973). the Fair Information Principles: The Foundation net/captcha.html.

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26 DOMESTIC VIOLENCE REPORT December/January 2009

ELECTROSHOCK, from page 25 the prospect of brain damage evokes study proves conclusively that women
terror and keeps patients in line. incur more damage from electro-
eating and so would likely resume shock than men. To be clear, this find-
eating. Additionally, there is reason Statistics: What Do They Tell Us? ing comes as no surprise to those of
to believe that electroshock promot- The quotation from Myerson sug- us who have been listening carefully
ers throughout the years have been gests that some peoples brains are to shock survivors over the decades.
aware of profound damage beyond expendable. A look at electroshock We were well aware that we were hear-
memory loss and, to varying degrees, statistics quickly reveals which peoples ing more horrendous stories from the
have counted on that additional brains. Throughout the history of ECT, women than from the menstories
damage. Take Abraham Myersona one statistic remains constant: Women of 20 years of memory wiped out, sto-
ries of not being able to navigate their
lives any more (see Ontario Coalition
to Stop Electroshock, 1984). However,
Women are subjected to electroshock two to it does bring home a frightening truth
three times as often as men. Approximately 95% about electroshock. Strip away the
medical verbiage and the simple fact
of all shock doctors are male. is that the people most damaged by
electroshock (women) are adminis-
tered electroshock two to three times
prominent psychiatrist who was abso- are subjected to electroshock two to as often as the people less damaged
lutely pivotal in popularizing electro- three times as often as men. To cite as by it (men), with the damage coming
shock. Significantly, Myerson explic- examples statistics from different eras overwhelmingly at the hands of men.
itly lists the brain-damaging capacities and locations, a 1974 study of elec- Now as lawyer and shock survivor
of ECT as a virtue, explaining: troshock in Massachusetts reported Carla McKague points out (Burstow,
in Grosser (1975) revealed that 69% 1994), psychiatrists who promote shock
I believe there have to be organic
of those shocked were women. By the typically defend the ratio by point-
changes or organic disturbances in
same token, in Ontario in 19992000, ing out that shock is most commonly
the physiology of the brain for the
75% of the shock administered was given for depression and that women
cure to take place. These people
administered to women. And in 2007, are simply depressed approximately
have for the time being at any rate
British Columbian psychiatrists billed two to three times more often than
more intelligence than they can
for 558 ECT treatments for women as men. However, besides that damaging
handle . . . and the reduction of
contrasted to 275 for men (see Health womens brains is hardly a satisfactory
intelligence is an important factor
Planning Division, British Columbia solution to the societal ills that depress
in the curative process (quoted
Ministry of Health, 2008). Another women, as has already been shown,
from Breggin, 1979, pp. 142143).
statistic that seems relevant is that electroshock has no special efficacy
By the same token, in the days approximately 95% of all shock doc- in relieving depression. Moreover, as
before acknowledging brain damage tors are male (see Grobe, 1995). the Electro-convulsive Therapy Review
became verboten, current electro- Factor in these statistics, and a fright- Committee (1985) found, women are
shock guru Max Fink (1973) expressly ening and indeed anti-woman picture electroshocked two to three times as
and repeatedly linked ECT effective- of ECT emerges: Overwhelmingly, it often as men irrespective of diagnosis.
ness with brain dysfunction. is womens brains and lives that are In other words, the justifications
The point is clear. At very best, damage being violated by shock. Overwhelm- do not add up. Indeed, it is difficult
to the integral person is being accepted ingly, it is womens brains, memory, to make sense of what is happening
as necessary even if unfortunate. And at and intellectual functioning that are unless we shift the lens and dispense
worst, it is damage per se which is being seen as expendable. Insofar as people with notions like treatment. The
seen as the source of the improvement; are being terrorized, punished, and point is, despite the medical arena in
and it is damage per se that is being controlled, overwhelmingly, those which it is played out, what we appear
actively sought. In both cases, but most people are women. And what is likely to be witnessing is intentional injury
dramatically with the latter, what is hap- not coincidental, almost all the peo- not legitimate treatment. And while
pening constitutes violence. ple making the determinations and injury is horrific regardless of who is
Doctors, of course, can deliberately wreaking the damage are men. being injured, we are particularly see-
damage the brain without intending These statistics and their implica- ing women targeted. To put the statis-
the damage as punishment or control. tions are alarming in themselves. tics and the findings into the larger
However, as Breggin (1991) docu- A finding in 2007 makes the statistics all context of gender violence, we are see-
ments, routinely, shock doctors identify the more alarming. In the 2007 study ing the gender most commonly hurt
the patients greater compliance as referred to earlierthe largest study by the other gender targeted by that
evidence of shocks effectiveness. More- in electroshock historySackeim gender. And we are seeing the gender
over, irrespective of conscious intent, et al. (2007) broke down the findings most likely to be horrendously hurt by
brain damage renders patients more by gender. Using a battery of scientific the treatment targeted by the other
compliant, and, as will be demon- tests, with all measures established to
strated in later sections of this paper, the level of statistical significance, the See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
December/January 2009 DOMESTIC VIOLENCE REPORT 27

ELECTROSHOCK, from page 26 Im missing between eight and difficulty keeping track of what she is
fifteen years of memory and about from hour to hourlet alone
gender. What we are seeing, in other skills . . . . I was a trained classical day to day. Who knows what I would
words, is violence against women. pianist . . . Well, the pianos in my have become if I was not forced to
Something of the purpose of this house, but . . . it just sits there. undergo shocka doctor, a lawyer, a
violence is suggested in Breggins I dont have that kind of ability scientist? she asks.
reference to a colleague who urged any longer . . . . People come up While it figures in the discourse
a husband to agree to the shocking to me . . . and they tell me about less frequently and less urgently, some
of his wife because it would help, things weve done. I dont know women additionally refer to bodily
functioning as a mental spanking who they are. I dont know what injury. For example, Wendy (Funk,
(Breggin 1991, p. 212). Spanking theyre talking about . . . . Mostly 1998) reports that the seizures injured
bespeaks the infantilization of women what I had was . . . modified shock, her knee permanently. And Shirley,
at the hands of men. Moreover, the and it was seen as effective. By who was given unilateral shock and so
entire incident bespeaks mens use of effective, I know that it is meant would expectably be affected more on
violence to keep women in line. that they diminish the person. one side than the other refers to gen-
As feminists, it is critical that we They certainly diminished me . . . . eral bodily weakness but particular
understand this violence better. And I work as a payroll clerk for the Pub- weakness on the right side, stating:
it is critical to approach the issue from lic Works Department. I write little It became very difficult to lift my
the standpoint of those most affected. figures, and thats about all . . . And lower spine and middle back . . .
I proceed, accordingly, to what women its the direct result of the treat- When I am tired, there are times my
who have been electroshocked say ment (Phoenix Rising Collective, mouth will not form words. At times,
about their experiences. 1984, 20A21A). I have lost the use of my right arm
Damage to memory and other cog- and right leg (quoted from Phoenix
Women Electroshock Survivors nitive functions and profound inter- Rising Collective, Ed., 1984).
Speak Out ference in family and other social life, Assault and Trauma. Repeatedly,
Damage, Impairment, Diminished correspondingly, are highlighted in womens testimonies connote a sense
Lives. Damage to the brain, impair- Shirley Johnstons testimony (Phoenix of the entire process as an ongoing
ment of memory and other cogni- Rising Collective, Ed., 1984, 21A22A): assaultbeing herded into the room,
tive functions, and the dismal effects The damage done to my brain . . . being strapped down, ones head
on the womens lives are recurring is still evident . . . . The memory loss being encased in a band, being unable
themes in women survivors testimony. is especially painful, since I could to breathe, being rendered uncon-
Significantly, solely on the basis of what not remember a lot of times while scious, having ones body violated by
they were experiencing, all ten women the children were growing up . . . . shock, being brain-damaged. I feel
shock recipients discussed in an article The two older childrenI do not like Ive been gotten at, bashed, as
on women electroshocked in the Bay remember their graduations. Many if my brain has been abused, states
area (Warren, 1988) thought that the times, my family and friends would one of the women in the Johnstone
purpose of electroshock was to erase bring up happenings that I had to study. It can feel like a brutal assault
memory. Correspondingly, all women question them about, to test wheth- on who you are, states another (see
shock survivors interviewed for my er my memory would return. Usual- Johnstone, 20022003, p. 46). Some
video (Burstow, 1994), all women ly not. I feel so alien because of this women pointedly identify the process
shock survivors who testified in front damage . . . . One of my childrens as torture, and urge us to understand it
of the Toronto Board of Health school interviews was terrifying, as such. Sue, for example, proclaims:
(Phoenix Rising Collective, 1984), all because I didnt want to reveal . . .
but one woman survivor who testified All the therapy in the world is not
the gaps in my memoryI was still
at the first ECT hearing in Toronto going to erase the scars of being
in the closet. Finally when the anxi-
(Ontario Coalition to Stop Electro- dragged into a room, having a band
ety got so bad, I would completely
shock 1984), and all but one who on your head, and having your
avoid people.
testified at the second (Electroshock brains fried. People say theres no
Panel 2005) spoke at length about Typically, other womens stories torture in Canada. Thats pure
their difficulty navigating the world likewise reveal profound disruption in bullshit. And excuse my language.
because of electroshock-induced their being-in-the-world. Wendy Funk There is torture being paid for by
damage. Examples of problems listed (1998) writes about being cared for the Ministry of Health (quoted
by women include: not being able by strangers whom she never came to from Burstow, 1994).
to recall current conversations and remember (husband and children).
Linda Macdonald writes about never Figuring in the sense of assault is the
ongoing events; inability to remem- sense of being treated like an animal,
ber events that happened or people retrieving any of her pre-shock mem-
ory (see Burstow and Weitz, 1989). Sue a sense of being led to the slaughter.
they knew prior to shock; loss of One survivor explicitly speaks of the
skills; being able to manage mundane Clark-Wittenburg (see Clark-Witten-
burg, 2008), who received five shocks feeling of being led to the slaughter on
repetitive jobs only; the sense of being
diminished. To quote one survivor to onlyan unusually small number
give you an extent of the injury: reports that 35 years later, she still has See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
28 DOMESTIC VIOLENCE REPORT December/January 2009

ELECTROSHOCK, from page 27 Terror, humiliation, and sense of wrong to deserve such punishment (see
helplessness, significantly, stem at once Johnstone, 20022003, p. 49).
treatment mornings and knowing when from the damaging and terrorizing As with other forms of violence
they put the needle in, it meant black- treatment and from the larger objective against women, punishment and con-
ness and waking up with the splitting context of a total institutionan insti- trol go hand in hand. Woman after
headache and not knowing where my tution which controls all aspects of life. woman has testified that the real pur-
room was even (quoted from Ontario The context is such, correspondingly, pose of the ECT was social control.
Coalition to Stop Electroshock, p. 180). that it mutually constitutes the woman Cognitive impairment or memory
In line with survivor depictions, shock recipient as powerless child who loss is frequently identified as the
British researcher Lucy Johnstone knows that she will not be heard and means. The rationale is: What can-
(20022003) identifies ECT-induced the presiding male as all powerful par- not be remembered, cannot be acted
trauma in all the women shock sur- ent who knows what is best and will on (see in particular Warren, 1988;
vivors interviewed in her study. The enforce it. Velma Orlikows compelling Funk, 1998; and Ontario Coalition
trauma, however, is more extensive description of her experiences on the to Stop Electroshock, 1984). Corre-
than even Johnstone suggests. Testi- ward illustrates one of the ways these spondingly, if people are so impaired
mony by shock survivors typically lays different elements can come together that they cannot function, behaviour
bare extreme states of terror, the feel- in the traumatizing present: seen as undesirable may be altered
ing of being powerless, the sense of (see, Funk, 1998 and the Ontario
being humiliated and degraded, the I never saw him once that I wasnt Coalition to Stop Electroshock 1984).
subjective sense of annihilation, of afraid. Every time I saw him com- Still more commonly, women testify
dying. Why did I have to die thirty-six ing down the hall, Id shake with to being kept in line via fear of ECT.
times? asks a shock survivor at a recent fear . . . . Id say, I cant, I cant
hearing in Toronto (Electroshock take it any more. I dont think this There was always the fear . . . that you
Panel, 2005). Your hearts a muscle, is doing me any good. I feel worse. are going to appear a little outside
and your lungs a muscle, and all of And hed walk down the hall a little the norm, says shock survivor Con-
your muscles stop, points out shock way and put his arm on my shoulder nie Neil. You must not be anything
survivor Connie Neil, and each time, and say, Come on now, lassie, you that is outside the norm because . . .
you feel like you are dying, and then know youre going to do it (quoted if you are, you will be taken to a
they shoot electricity through your from Burstow & Weitz, 1988, hospital, you will be strapped down,
head, and then you dont know any- pp. 202204). and you will be given electroshock
thing (quoted from Burstow, 1994). (Ontario Coalition to Stop Electro-
Feelings of humiliation and deg- The patriarchal nature of such vio- shock, 1984, p. 90).
radation are equally evident in survi- lence is not lost on women survivors. Connie makes the point more force-
vor testimony, and as with the sense Many have used words to suggest fully still in the Burstow (1994) video:
of death and doom, they are tied to that it is battery by men. Note, in this
the assault, to the sense of being pur- regard, psychiatric survivor Ollie May All I did was have a baby. And look
posefully mistreated. I felt like an Bozarths classical reference to elec- at what they did to me. Now if I
animal; and they strip you of your troshock as a gentlemans way to beat really did something, what would
self-worth, state survivors (quoted up a woman (Bozarth, 1976, p. 27). they do to me next? So you have to
by Baldwin and Froede, 1999, p. As with all trauma (see Herman be very very careful . . . . You fit in.
185). By the same token, a woman in 1992 and Burstow 2003), the effects You play a role.
the Johnstone study states, I felt as of the trauma remain long after the
if I was a non-person (p. 49). State- events which occasioned them pass. ECT, it would seem, is effective in the
ments like these, it should be noted, Significantly, women explicitly refer way abuse is always effectiveby inspir-
are hardly new to those of us in the to the low self esteem and the sense of ing fear of further violation. Addition-
VAW world, for they are strikingly powerless continuing (see, for exam- ally, a vicious cycle sets in, with ECT
similar to statements found in the ple, Burstow, 1994). As is common in used to stop women from complaining
domestic abuse literature (see, for trauma, however, it is the ongoing fear about the effects of ECT. Significantly,
example, Martin 1981). which is most emphasized. Note, in many women have testified that when
As with all victims of ongoing abuse, this regard, Connie Neils statement, they spoke of the treatments mak-
additionally, the women typically But the biggest thing, I think, is the ing them worse, they were told in no
express a sense of having no control, business about the terror and the uncertain terms that continued com-
of being powerless. For example, a violence. This just doesnt go away plaints would be interpreted as illness
woman at a public hearing testified, (quoted from Burstow, 1994). and result in further treatment. Not
I never felt so helpless in all my life Punishing/Controlling Women. Not surprisingly, women reported protect-
(quoted from Baldwin and Froede, all women who experience electroshock ing themselves by obeying (see, for
1999, p. 185). The sense of helplessness as assault see it as punishment. Most, example, Funk, 1998). What is also
joins with the sense of diminishment however, do. In this respect, Connie Neil telling, women psychiatric survivors
in womens depiction of themselves as states, It was meant to be punishment who have not been shocked describe
being infantilized (see, for example, (quoted from Burstow, 1994). And
Baldwin & Froede, 1999, pp. 184185). women report wondering what they did See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
December/January 2009 DOMESTIC VIOLENCE REPORT 29

ELECTROSHOCK, from page 28 ECT and threatening to ship her far (b) sexist brain-washing; (c) collusion
away if she refused, Wendy consented between husband and psychiatrist; and
the very witnessing of shock in the (d) battery which is both institutional
and was shocked. Wendys psychiatrist
institution as both traumatizing and as and domestic. Now Cameron and Tien
later pressured for further ECT, tell-
an everpresent threat. It was a threat are extreme examples to be sure, but
ing her, You really should have ECT
to those of us who were not to receive examining the extreme is helpful for it
for the sake of your family if nothing
ECT to get our act together really writes large the dynamics inherent in
else. Making Dan worry about you so
quickly or else this could happen to more everyday use of ECT on women.
much is not a good thing for a wife
us, stated a woman at one of the hear-
to do (p. 91). Patriarchal enforce-
ings (Ontario Coalition to Stop Elec-
ment of stereotypical wife and mother
Involvement of Male Partners
troshock, 1984, p. 161 ff.). As is evident in the foregoing, others
behaviour is evident.
Add all this up, and what you have is from the womens private lives tend
Patriarchal control is equally
battery complete with extensive injury, to be implicated in the shock experi-
marked in the stories of other women
trauma, intimidation, danger. Put all ence, and not uncommonly, those oth-
who received electroshock while mar-
this together, correspondingly, and ers are male partners. Most men who
ried. Why dont you care for your
what emerges is a formidable and com- are implicated are worried about their
baby? Why dont you care for your
prehensive method of social control. partners and think that they are help-
husband? Why dont you smarten up?
The fact that such control is primar- ing. Equally significantly, however,
Connie was asked before the electrical
ily exercised over women would raise they have been socialized to trust men
assaults began (quoted from Ontario
the question of gender role enforce- in authority and to see fixing women
Coalition to Stop Electroshock, 1984,
ment even if womens own testimony as a solution to lifes problems.
p. 87). Women saw shocks purpose
did not suggest it. Womens testimony, Collusion between husband and
as fixing the marriage with fixing
however, blatantly suggests it. doctor is a slippery slope which gener-
them as the route. Shock treatments is
Women have testified to ECT being ally begins with husbands, at the psychi-
a helluva of a way to treat marital prob-
used to control their sexuality (see atrists behest, urging their partners to
lems, objected one woman in the
Blackbridge and Gilhooly, pp. 4550). have ECT, or what is particularly com-
Warren study (Warren, 1998, p. 296).
I told my shrink I didnt want to A particularly extreme example of mon, authorizing it for them. Indeed,
be cured of being a lesbian, writes wife control happened in the Allen in many cases, if not most, as testimony
Gilhooly. He said that showed how Memorial at the hands of renowned reveals (see Ontario Coalition to Stop
sick I was. He said I needed shock psychiatrist Alan Cameraone time Electroshock 1984 and Electroshock
treatment . . . . Nineteen shock treat- head of the World Psychiatric Asso- Panel, 2005), married women receive
ments later, I still did not want to be ciation. Cameron used rapid ECT to ECT as a result of their husband sign-
cured of being a lesbian. depattern or wipe clear the mind and ing the consent form, often against
reduce patients to the level of infants. their own wishes. Many husbands have
ECT in the interest of compulsory het- no idea that damage will be done.
erosexuality is clearly operant. On top of being given shock, taped
messages played as the patients slept, Most of the rest may have nagging
Being controlled as a wife figures doubts but are largely reassured by the
particularly centrallygenerally with with the same personally tailored mes-
sage playing over and over. An example doctors insistence that ECT is new,
the psychiatrist seeking this control, modified, safe, effective. Still other
sometimes with the husband tricked of a message given to one woman who
was in conflict with her husband was male partners, however, are aware of
into cooperating, sometimes with him and even counting on some degree of
actively instigating. British Columbias you are at ease with your husband
(quoted from Gilmour, 1987). damage. And whether they knew about
Wendy Funk is a case in point. In 1989, damage in advance or not, some relish
states Wendy, the following conversa- Another extreme example of ECT in
the service of wife control is the prac- the damage (see Warren 1988).
tion transpired between her husband In the Warren study (1988),
and her doctor: tice of couples therapist H. C. Tien.
Tien used electroshock to effect what significantly, which included inter-
Cant you tell her to . . . spend he called memory loosening with views with the husbands of women
more time at home? Dr. King women in marital difficulty. Tran- electroshocked, a number of hus-
asked. scripts of dialogues between Tien and bands expressed satisfaction with the
I try but she doesnt listen to me, one married couple show the woman memory loss. In this regard, Warren
Dan joked. prior to shock complaining that her (1988, p. 294) writes, Mr. Karr com-
husband beat her and announcing her mented on his wifes long-term mem-
So you cant control your wifes ory loss as proof of her successful cure
wish to leave him. After each ECT treat-
behaviour? Dr. King asked. (Funk, by ECT . . . . These husbands used
ment, at Tiens instigation, the woman
1998, p. 15). their wives memory loss to establish
was reprogrammed by her husband,
Dr. King explained to Wendy that who bottle-fed her. In the end, the their own definitions of past situations
her problem arose from neglect- woman declared that she was happy in the marital relationship.
ing her house and being consumed with her husband and she was pro- There is a continuum here, and it
by feminist-type thinking (p. 48). nounced cured (for documentation, would be unfair to view all husbands
Locked in a ward, with Dan urging see Breggin, 1991). What we have here
cooperation, and her doctor pushing is: (a) the infantilization of women; See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
30 DOMESTIC VIOLENCE REPORT December/January 2009

ELECTROSHOCK, from page 29 women were electroshocked. In some pushed to have her electroshocked.
cases, the women were accused of lying. In this regard, the woman states:
who cooperate with the shocking of Even where psychiatric staff did not
their wives in the same light, especially Before we left the house . . . she
deny the abuse, correspondingly, it was [mother] was explaining [to other
given the hegemony of psychiatry. At largely regarded as irrelevant. Consider
some point, nonetheless, the institu- relatives] why she wanted me up
in this regard, the following intercharge here, you know, she wants me to
tional abuse that is called electroshock with ECT survivor Usha:
decisively enters the arena of domestic have the full treatment, she says . . . .
abuse even where men are not batter- Bonnie: Let me ask you something She said that she thought it would
ing their wives in any traditional sense. I dont understand . . . . Nowhere make me forget all those things . . . .
The combination of husband plus did they say that your husband My mother wants me to have shock
medical establishment plus threat of should stop beating you and abus- so that Ill forget all those things
further ECT is formidable in its ability ing you and that [the abuse] may that happened. (p. 294)
to control women. Once again, Warren have something to do with whats While the mother may well have
(1988) is instructive. Women told War- happening to you? convinced herself that she was simply
ren that they refrained from express- sparing her deluded daughter further
ing any kind of problems to their hus- Usha: No. They didnt even want to agony, the daughter was effectively
bands, for fear of reprisal in the form listen to me that my husband was silenced regardless.
of ECT (p. 296). What we have here doing something to me and that The types of silencing suggested
is a medical-marital web of control its because of that Im so much here, I would add, are confirmed in
which includes threats, which involves stressed out and so sad. my own psychotherapy practice. The
damage, and which leaves women very Bonnie: So you told them about it message that women predictably get
little room to maneuver. Ways in which and what did they say? from such invalidation, violation, and
husbands have been implicated in threat of violation are: Complaints are
this medical-marital web of control of Usha: They just ignored it, no? counterproductive.
women include: battering their wives (quoted from Burstow, 1994). What is more fundamental, and
while treating the battery as irrelevant Consider also the fate of teenager what makes the issue of prior violence
and their wives mental health prob- Sue (in Burstow, 1994). Sue ran away particularly complex, severely violated
lems as the real issue; consenting from home because of repeated women are in special jeopardy of ECT
to the electroshocking of their wives; abuse. She ended up homeless, then whether or not ECT is being used to
pressuring wives to consent; suggesting in a psychiatric ward, where she made silence them. They are also likely to
shock; acting as a spy for the psychia- it clear that abuse at home was at the be traumatized more if given ECT.
trist; advising the doctor of bad behav- root of her problem. She was not In this regard, as shown in Burstow,
iour; threatening to report noncom- believed. Subsequently institutional- 1994; Burstow, 1992; and Burstow &
pliance even while knowing that this ized in another hospital and still not Weitz, 1988, routinely, women end
threat will predictably result in further listened to, Sue was given electro- up in psychiatric institutions precisely
control and potentially further electro- shock. At best, abuse is being ignored because of violence against women.
shock; and using their wives medically- or disbelieved and ECT is being used Once inside, women with such a his-
induced memory problems to ensure to control women. As its worst, ECT tory are at greater risk of ECT not only
that their own views of the marriages is being used to silence women about because they are frequently depressed
are accepted (see Warren, 1988, Funk, their abuse. but also because, as demonstrated in
1998, Burstow, 1994, and Ontario Additionally, while I am not sug- Burstow (1992 and 2003), trauma-
Coalition to Stop Electroshock, 1984). gesting that this is standard, as wom- tized women more commonly cope in
ens testimony reveals, more blatant ways that psychiatry theorizes as dan-
Electroshock on the Heels of types of silencing can also motivate gerouscutting themselves, starving
Other Violence Against Women the use of electroshock. Significantly, themselves. Correspondingly, if they
What adds to the complexity of a woman in my video who had been are given electroshock, as Johnstone
understanding ECT as violence against sexually abused by her psychiatrist was (20022003) demonstrates, retrauma-
women, as is evident in the foregoing, are threatened with electroshock should tization occurs. As such, ECT consti-
the complex relationships between hav- she ever divulge the abuse. Other tutes a special threat to violated women
ing already been subjected to another women reported comparable threats and is one of the ways in which the
form of violence against women and by abusive male relatives. trauma of women is compounded.
being subjected to ECT. Approximately Moreover, sometimes women are
half of the shock survivors interviewed electroshocked because the family as
Women in Special Jeopardy
in my video (Burstow, 1994) reported a whole finds the eradication of abuse Several of the populations of women
having told their psychiatrists that it was memories in their interests. A woman at particular risk of being subjected to
upset over previous or current sexual in the Warren study (1988) appears to this medicalized assault are evident in
abuse or battery that landed them in be a case in point. According to her, the foregoing. They include: women
the hospital. In all instances, the women she was sexually abused by her mater- who are distressed, abused women,
informed me, nothing happened to the nal uncle. After the relatives denied
abusive relatives or partners, but the the abuse, her mother successfully See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
December/January 2009 DOMESTIC VIOLENCE REPORT 31

ELECTROSHOCK, from page 30 women at their most vulnerable. It is a References


particularly insidious form of battery, Baldwin, S. & Froede, E. (1999). Toronto pub-
women who are in conflict with oth- moreover, and one difficult to mobilize lic hearings on electroshock. International Jour-
ers who hold power over them, women against because it is done in the name nal of Risk and Safety in Medicine, 12, 181192.
who have received ECT previously, of help. What adds to the problem, it is Blackbridge, P. & Gilhooly, S. (1988). Still
women who have not improved committed by professionals; its victims sane. In B. Burstow & D. Weitz (Eds.), Shrink-
on psychiatric drugs, women who are automatically defined as not cred- Resistant (pp. 4454). Vancouver: New Star.
present as suicidal, women who are ible; it is state-sponsored; it is seen as Breeding, J. (2007). Psychologist testifies be-
depressed. As testimony delivered in legitimate; it is underpinned by a huge fore the Austin city council about electroshock
the public hearings makes amply clear, industry with vested interests; it is rou- (www.youtube.com/watch?v=Y5LIVAaNrQ).
the latter group includes women who tinely done with the cooperation of fam- Breggin, P. (1998). Electroshock: Scientific,
are suffering from post-partum depres- ily members; and there are no shelters ethical, and political issues. International
sion, despite how natural postpartum to which its victims or potential victims Journal of Risk and Safety in Medicine, 11, 540.
depression is and despite its tendency may flee. Breggin, P. (1997). Brain-disabling treatment in
to resolve itself. Significantly, woman It is beyond the scope of this article psychiatry. New York: Springer.
after woman has testified to being given to provide detailed suggestions about Breggin, P. (1991). Toxic psychiatry. New York:
shock just after the birth of her baby what feminists can do about this form of St. Martins Press.
(see, for example, Ontario Coalition woman abuse, though clearly, we have Breggin, P. (1979). Electroshock: Its brain-
to Stop Electroshock 1984). What no a responsibility here. To highlight a few disabling effects. New York: Springer.
doubt contributes to this jeopardy, psy- possible directions, concrete measures Burstow, B. (2006a). Electroshock as a form
chiatric guidelines for giving electro- that might be taken include: creating of violence against women. Violence Against
shock explicitly stipulate that neither and disseminating feminist critiques Women, 12, 4, 372392.
pregnancy nor post-partum are coun- of ECT; getting together with others Burstow, B. (2006b). Understanding and
ter-indications for giving ECT (see, for similarly situated to issue professional ending electroshock: A feminist imperative.
example, Mental Health Evaluation & statements as concerned nurses, as Canadian Woman Studies, 15, 115122.
Community Consultation Unit, 2002). concerned VAW workers, as concerned Burstow, B. (2003). Toward a radical under-
One group which is not obvious but social workers; allying with psychiatric standing of trauma and trauma work. Vio-
which merits special mention because survivor organizations and antipsychia- lence Against Women, 11, 12931317.
the jeopardy is now so extreme is try organizations to mount public edu- Burstow, B. (1994). When women end up in those
women over 65. As ECT statistics over cationals; joining in the annual interna- horrible places. Video. Toronto: Burstow.
the last couple of decades show, old age tional protest against ECT on Mothers
Burstow, B. (1992). Radical feminist therapy.
correlates with greater electroshock. Day; lobbying government; conducting Newbury Park, California: Sage.
Moreover, older women are given shock research into ECT as a form of violence
considerably more than either older men Burstow, B. & Weitz, D. (Ed.). (1989). Shrink-
against women; including work to end
Resistant. Vancouver: New Star.
or women in any other age bracket, with ECT in the mandate of feminist organi-
some statistics showing women over 65 zations; coming to the aid of women at Calloway, S. (1981). ECT and cerebral atrophy.
receiving half of all electroshock given Acta Psychiatrica Scandinavica, 64, 441445.
imminent risk; extending the working
to anyone (see Weitz 2001) some show- definitions of battery used at womens Clark-Wittenberg, S. (2008). The Sue Clark
ing women over 65 receiving half of all shelters; refusing to work in any way story. Narrative read at Madness, Citizenship,
electroshock given to women (see Health and Social Justice: A Human Rights Confer-
with people or organizations implicated
ence, June 13, 2008.
Planning Division, British Columbia in the shock industry; investigating what
Ministry of Health, 2008). The target- is happening to the women warehoused Crowe, T. & Johnstone, E. (1986). Controlled
ing of the elderly is particularly wor- trials of electroconvulsive therapy. Annals of
in geriatric units.
the New York Academy of Science, 462, 1229.
risome, for besides that it is harder I would end by reminding readers of
for the elderly to defend themselves, the special jeopardy of older women. Electro-convulsive Therapy Review Commit-
research shows that the elderly sustain tee (1985). Report of the Electro-convulsive
I end, correspondingly, by reminding
Therapy Review Committee. Toronto: Elec-
greater brain injury from the treatment readers that we will all grow old. tro-convulsive Therapy Review Committee.
(see Breggin, 1991, p. 205 ff.) More-
over, given that women as a whole incur Dr. Burstow is a faculty member in the Department Electroshock Panel (2005). Day One, Inquiry
into Psychiatry 2005. Toronto: Toronto City
more damage from electroshock than of Adult Education and Counselling Psychology at
the Ontario Institute for Studies in Education of the Hall, April 9.
men, older women should be the very
last group subjected to this dangerous University of Toronto, a feminist psychotherapist, Fink, M. (1999). Electroshock: Repairing the
and an antipsychiatry activist who has written exten- mind. London: Oxford University Press.
treatment; and yet this population is the
sively on electroshock. She is best known for her book Fink, M. (1973). Convulsive therapy. New York:
primary target of electroshock. The low
Radical Feminist Therapy: Working in the Context Raven.
societal value placed on elderly women of Violence.
is hardly coincidental. Frank, L (2006). The electroshock quotationary.
She is currently working on a novel whose nar-
(http//www.endofshock.com).
Concluding Remarks rator has been subjected to electroshock. Dr. Burstow
can be reached at: Department of Adult Education Frank, L. (1978). The history of shock treatment.
The image of electroshock which and Counselling Psychology, Ontario Institute for San Francisco: NAPA.
has emerged in this article is one of Studies in Education, 252 Bloor St. West, Toronto,
woman batterybattery which is highly Ontario, Canada, M5S 1V6 or bburstow@oise.
damaging and which is unleashed on utoronto.ca. See ELECTROSHOCK, next page

2008 Civic Research Institute. Photocopying or other reproduction without written permission is expressly prohibited and is a violation of copyright.
32 DOMESTIC VIOLENCE REPORT December/January 2009

ELECTROSHOCK, from page 31 Ontario Coalition to Stop Electroshock (1984).


Public hearings on electroshock. Transcripts
Freidburg, J. (1976). Shock treatment is not good
SUBSCRIPTION for your brain. San Francisco: Glide.
of testimony presented at city hall on October
13, October 20, and October 27 1984. Toron-
INFORMATION Funk, W. (1998). What difference does it make? to: Ontario Coalition to Stop Electroshock.
Cranbrook, B.C.: Wild Flower Publishing. Phoenix Rising Collective (Ed.). (1984). Tes-
Domestic Violence Report (DVR) is Gilmore, D. (1987). I swear by Apollo. Mon- timony on electroshock, Phoenix Rising, 3 and
published six times annually. A basic 4, 16A22A.
treal: Eden.
one-year subscription to DVR is $165
plus $14.95 postage and handling. Non- Grobe, J. (1995). Beyond Bedlam. Chicago: Ross, C. (2006). The sham ECT literature:
exempt New Jersey and New York resi- Third Side Press. Implications for consent to ECT. Ethical
dents please add appropriate sales tax. Human Psychology and Psychiatry, 8, 1718.
Grosser, G (1975). The regulation of elec-
TO ORDER troshock treatment in Massachusetts. Massa- Sackeim, H. et al. (2007). The cognitive
Complete the information below and chusetts Journal of Mental Health, 5, 1225. effects of electroconvulsive therapy in com-
mail to: munity settings. Neuropsychopharmacology, 32,
Civic Research Institute Hartelius, H. (1952). Cerebral changes fol-
244255.
P.O. Box 585 lowing electrically induced convulsions. Acta
Kingston, NJ 08528 Psychiatrica Neurologica Scandinavica, 77 (Sup- Smith, D. (1987). The everyday world a problem-
or online: www.civicresearchinstitute.com plement), 1128. atic. Toronto: University of Toronto Press.

Enter my one-year subscription to Health Planning Division, British Columbia Szasz, T. (1977). The manufacture of madness.
Domestic Violence Report at $165 Ministry of Health (2008). ECT Report (ect_ New York: Harper Colophon.
plus $14.95 postage and handling. report_2002-2007l.XLS) Templer, D., Ruff, C., & Armstrong, G.
Herman, J. (1992). Trauma and recovery. New
Enter my order for Violence Against York: Basic Books.
(1973). Cognitive impairment and degree
of psychosis in schizophrenics given many
Women: Three-Volume Set $315 plus
Johnstone, E. (1980). The Northwick Park ECT electroconvulsive treatments. British Journal
$16.95 postage and handling.
trial. Lancet, December 2027, 13171320. of Psychiatry, 123, 441443.
Enter my order for Stalking: Psychol- Johnstone, L. (20022003). Electroshock in Templer, D. & Veleber, D. (1982). Can ECT
ogy, Risk Factors, Law $125 plus $10.95 permanently harm the brain? Clinical Neuro-
UK linked to psychological trauma. Mind-
postage and handling. psychology, 4(2), 6266.
Freedom Journal, 45, 4850.
Enter my order for Programs for Lambourne, J. & Gill, D. (1978). A controlled Warren, C. (1988). Electroconvulsive thera-
Men Who Batter $125 plus $10.95 comparison and simulated and real ECT. py, the self, and family relations. Research in
postage and handling. British Journal of Psychiatry, 113, 514519. the Sociology of Health Care, 7, 283300.

Name Mental Health Evaluation & Community Weinberger, D. (1979). Lateral ventricu-
Consultation Unit (2002). Electroconvulsive lar enlargement in chronic schizophrenia.
therapy: Guidelines for health authorities in Brit- Archives of General Psychiatry, 36, 735739.
Firm/Agency/Institution ish Columbia. Vancouver: British Columbia Weitz, D. (2001). Ontario electroshock sta-
Ministry of Health Services. tistics. Unpublished figures released under
Address MindFreedom (20022003). Electroshocks the Freedom of Information Act. Toronto:
secret comeback. MindFreedom Journal, 45. Ontario Ministry of Health.

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